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HomeMy WebLinkAbout200 LILLIAN PL - Building Permits -- — PJBECCT ADDRESS: 200 LILLIAN PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B06407 A OWNER'S NAME: TAORMINA, PHILIP CHARLES /75 ADDRESS: TAORMINA, ALTHINE MARY PERMIT NO : B 064073 PLAN CHECK NO: N GOVT: N SUPP: N 200 LILLIAN PL • COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH 650-3309 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REROOF 1900SF W/COMP & SHINGLES SQ FT: 1 , 490 ADDRESS: UNIT: CLAIM VALUE: 1 , 490 . 00 CALL—VALUE: 1 , 490 . 00 GROUP OCC; R-3 /M-1 PERMITTEE: HIGBEE ROOFING (714 ) 891-2549 ADDRESS: 8212 WORTHY DR COMMENTS: REROOF 1900SF W/COMP SHINGLES MIDWAY CITY CA 92655 + + ** E*** *i ***+ ****aar+ **+ S * + **+ *i ****a ******x + a � • OR LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS ✓nGJG 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SETBACK S CITY LIC.: STATE LIC.:631967 CLASS' g R EQU-IR ., Date.9`2a-93 Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cervi ale of consent to self-insure or a cer0ecate of Workers' FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800, Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: • COMPANY: PARKING REQ PROV: PARCEL: 43921201 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> .ate' Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENT- S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED B Y . q � DATE: . - Date: /^20— 13' Signature: ' NOTICE:II,after making this declaration,you should become subject t to hCQorkers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: r Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; DATE: ;.. I which lois perms is issued(Section 3097,Civ,C) *{e{t.{E{(•B(.B{.y(.y{.,)!.*BL.*{t.{F*BE{pyl.*{e.,lE{E**{E{�*46 .{(,**„>[.*.*{e* *{(,**,**, ;OH, W*, LENDER: *************************************************141E***************1 ************ ADDRESS: LEGALIZATION:N F E E S U M M A R YSTRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE! SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 3 5 .00 L.4 5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or That he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 0 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ •., structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 3 5 . 5 0 0 . 0 0 0 . 0 0 3 5 . 5 0 td% 35 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through owneiseofd ithprovided of completion,improvements are note thedbddeooproving sh/. I, however notird buildingvREVENUE DIVISION TOTALS--> COLLECTED: 35. 50 OVER/SHORT; . 00 hisimprovementorer sold withins.one year that tsuh mp ove entsr willehave the burden ofered for he/sheldid not build or improver for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT/ GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 35 . 00 . 505 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware1E#1EiflEiEiEiEiElkitiEl(.i47kiEiElEik#14iEiE1E1E1EfE141E1L.1E14{E14{E{E.IE{E14{E1E1E141{.1E14{E{E14{E{41{.{E{E*K.1E{E.)f1L,{E**{E+rE**{4{4.H.{E,)f**{p*,*{q.,)E that proof of their Worker's Compensation insurance should be provided to me. I IND I V IDUAL F E E BRE A K D O•,"W N ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: SFR 1490 REROOF BY VALUE RESIDENTIAL NOZONE 1;00 1 , 490 . 00 I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and I END OF F EES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a 1 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. 1/ Dale: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propertyyllnt inspection purposes. -'//,, /;3 Dale: /'2o—9 3 Signature;�� — �( rf '1 Driver's License or Social Security a: / 01 00141276-00147277 TOT 35.50 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DATE: 09/20/93 TIME: 15:06 A• - , I- CONSTRUCTION AND PLANNING POOL '441" APPROVALS Permit# I Date " Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Servica'0r Pole 52. Pool & Equipment Location H 2. Soil Pipe-Undrgrnd. 53, Steel Reinforcement - - - 1 ,,,,`3_'�,E6(rital Concf.4;Utility-Undrgrnd. 54. Forms • y lEtett.Crieal Con(fgit- r drgrnd, 55. Electrical Bonding • '-'j5; ¢fi5 Reinforcem-51t., 56. Rough Plumbing & Pressure Test I .._..w a� . i 6 .Etbclrical UFd'116H+.d. 57, APPROVAL TO COVER-GUNITE a - Sr- -r �ood�75ngs ...7:. >' ti 58. Electrical Conduit-Undrgrnd. , o• _ 7.;$;foundation r arj '' I . • 59. Gas Pipe, C•Undrgrnd., Test tit''trir 91-Water Pipe-Undrgrnd. ' r - I 60. Backwash Lines,P-Trap, EDUndrgrnd. ; • . 1j ,5tructural Floor System ' ti21 61. APPROVAL TO DECK t -tits-.t: r - 1 W.-Property Sewer Lim& Horosi";Connection ..y,' 62. Backwash & Receptor-Final % I i 12. Sewer Cap c . , 63. Heater & Vent-Final 13. Roof Drains a A 64. Plumbing System - Final ++ 14. Rough Plumbih`oy no 55, Electrical-Final ii 15. Rough Electricsl-Conduit 66. Solar System-Final l 16. Rough ElectricaliNiring 67. Fencing & AccessApprovali 1 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning - FIRE DEPT. REQUIREMENT r f =.Y-Cl - ' 7tit-, D20nRoU h Fjctow F:traplace ::.'i <-2 x O Cr,. k rAPPRJVTtSOPet!llit # =w -r' y a .CL• 1-' s . tic Fx 14 ' c3i'-.F ',> �}< r" 4T`4r u - •ye 21.`Outts, ipiStructt!`e O '-,* k -+70. Underaec is Hydro * 22. Ducts, Ventttatiri ' •_ ~S } - C. * x,71. ProducV.P ing iE is DOil 23;Ga ip Roiyh & fest r,_ a ,04 X72. Undergrattt 71 l • .r.7 p;1Fl ,Ctstio__ :'; N 24:51opf Framir ;114. 7 : 7 C' ? x .73ttUndergrn2.Stor y5Tank C Gas ❑Cfll 25. Ro•Ej Slyathing C;: f ;I.) ' :•t Y n �' "74=;Q}+arhead"HYdrd,^`' r 26=•T-Br7 Ceiling (Strruo-rural) &$7on-,coat t m I`� m 75 'D y Chemical - - I F.,, - , ;, �_ 1-r: . . • r„ _:-i 27PFrame mild I sh h: * ,. x t a :, _ -1 c; �1 F.. tPSS D.;.a; i 7" :t.-5. ;,t. 76. fJry Stan toe _•� - �Blt. r + -. ,l ., .28. Lathing,4 Sidingu:1 -i ti.c: c' z `7 77 ' FIXED SYSTEM• INAL* ,J- L: -t 1 -, ..�r -, 129. Insulatilih _ * `° �1 t`: ' A c: • i 7✓ FIRE PREY. FIrJ?,L m30. Drywall-Naiting Cr= v•� < iii. I I F"' :.1 'HEALTHrDEPTLREQUIREMENT ., .. . 1 a :. i 1l, , n:.-i r. r31. Plaster �?owr.,Coat. . 1 d 1 (: a ;.79:1FINALIf•�SP CTIYN .;. - = �, ti G; ' i �,--- _..-..t !..-•'- --ra-- - J J =E.� p-.32cflectricl+IPoeserMetgt-Final; . -1 • t -:80_7FOOD CERTIFI:CMTE ISSUED - 1 s: '7 C I I . n ,-.33-= irfel Elwctri,u _ t: i. Ndlfs: yi. cri ti34,--fingHeating,& ir8ditigniiig �%)xj it- F `- ii; s Ji C) Z7)' . =-- it .--1-;;• t ro 35PFirfal G s Pi134-Tent rta :: 1 z �� 1 ?:s * o� �,G ,36:f'Ho I = orCanopy or' � I - .7 - sn I I If iS ro •••ct - .., .1s- -- 7f inral Fa-story Firep'lat@_ It'' x M ••l I* ., ._ l H , (•,. 4.1 i 1 �'� F ' ,38. Find Plcnbing - ,-u i , - j l t - . f39. Watt SesvicC Finah _ I I I, is 5 r trc.40. Gas Ser vice-eEnal ,., ;,,,,,. C-9 [,t i 11 ! . .14 1 ^.,1 r,...0.1 i 'n ,l I r4-'-- -._: i- ( -_ 41. Solar Domestic-Final;: t^. •• * I V t <4: - .;� n, s t ,. Cr O - >-. x °'-'42.'Backflow Preventef n' r 1 i.; <. 6: i-: • t :J ! 43. Backf low IrrOation: •-• �� -" r�-;��-20'et3- ale: 1� `,•�0/-& G�[_I „44. Landscape Itligatir.^SYstenl; - , n -; ij -nit z k,• 01 to 'r, -: ,; t.. .)Li Attenuatiori - a S - -, '-1 r_ - t irl -. -r1 . �A,, _ _;r1 ,F - -46`HandicapReiulatid�l"s 'H - -11//F'' r. h. ` - I , 47.fit ALSTRUCTUE.RE•&- lkDING J (�. 91S�J � ) asc 48!fINALPLAbNING; -""': .,F ! „ I 1 -, n •S *. - a -49 IEleatric Release to,:7, c r I� % 1. , Ca -50.,Gas Release t0 Sou.R:rl "'elikot to Gas Co ' I C. s' �" '51, CEFIT IFICATE OFtsCCUP4NCY z • >,;' 414 - No. M--Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. (�OF COSTA MESA STRU ON PERMIT PERMIT NO.B / o, p TRACT NO. • LOT NO,• UNIT NO. Project address Q Z g (, 11(03 15 "— : 5655 • 4/IO/B7 51o• 65 TL Applicant's Mailing Address TYPE OF CONSTRUCTION ,� NEwWDD U ALTERATION U REPAIR r //'' �� IE CONVERSION ❑DEMOLISH OTHE A.P. 11 U'�:vner's Name 1�p��,,�,, PhoneN ,•JV �1 - -- I ^�✓lam 212-0'1- . - ' •% - zone 12f 1 rky;.�7y(��{''YfO DESCRIPTION OF WOR K/USE OF BLDG. �ti'Da Address �1.OQ yw�•- .4,_ - I .S Main Building: - Accessory Building: • • Z • Arch/Eng. License No. TYPE OF PERMIT . ❑ GRADING ❑ FOUNDATION STRUCTURAL 'T Front 20 ; . 0 Address l r� i ❑ TENANT ❑ ELECTRICAL Ell PLUMBING Ci MECHANICAL ) B hear I� I N Contractor's Name � ' JI • Phone - • ❑ OTHER_ A _ �1(J - I • PROJECT DESCRIPTION SQ.FTFr- OCCUPANCY C Right- TU, ` - - "' N Address(mailing) Pi CONSTRUCTION TYPE VALUATION$ /960.0-0 r � ' $ Left aa, • _ R City License No. ZONE ' - I GRADING CU.YDS. ACRES Ping. Ref.,# Parking Req./Provided E `, LICENSED CONTRACTOR DECLARATION - 1 / r{ n Q I hereby affirm tt am licensedion under pBusiness f Charterro9i ns(commencing ng Remarks: - .• •, - •Planning Notes: 1�/ �'�r{: f nAr±h .•Tr-, ey(t r,.n s_ - M with section 7000) of Division 3 of the Business and Professions Code, and I it c'c�� Y G.W'C.^'a�"p_\•`,x1F-+.s^^�^w}r it my license is in full force and effect. - - . - - - T • License Class License No. •� /� ��....����� �yy Iv' S g Date Signature - PLUMBING -FEES; ' /.ev$. `i- . ( _ V S 'tsc $eil7Jl-a-42. 4- tO/b-k'1s a, Cr- , WORKERS'COMPENSATION DECLARATION Bar Sink - Showers • / I - • • • I hereby affirm that I have a certificate of consent to self-insure or a certificate - - • ELECTRICAL, FEES -• -f Workers' Compensation Insurance, or a certified copy thereof (Section Bac- ow Preventer ' Service Sink '00• , Lab. C.) . . '. 3 tic Washer _ Transformer 0 15-50 KW olicy No. Company Backflo rigation ` Sewer Cap - • ' - . •, Pole Sub. 50+ KW _ Certified copy is hereby furnished. .. _ ' Certified copy is filed with the city Building Division. Bathtubs 4 Sewer;Connection - ' - -- _ • Cooking Unit Meter ❑up to 100 amps ' Date Applicant ' ' - - - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers _ Solar Collectors' I Dishwasher - Meter ❑over'100 . ps • - (This section need not be completed if the permit is for one hundred ($100) or Dishwasher' _ less). ' Solar Piping - Driers DGas 'DElect - •- Sub,Panel' ' I certify that in the performance of the work for which this permit is issued, I - - - • ' shall not employ any person'in any manner so as to be ome subject to the Drinking'FountainsSolar Tank Fan workers' Co ensatjpn Laws of CahfAils , _ - - - - Moto ■0-i HP �1'/x-8 V Date 1�t 'i'( Signature t✓"� Floor Drains _ • Swimmi ' 'ool w/Spa : F.A.U. ` - ' '.Solar 09-15 HP 016-1S+ NOTICE:If,after ma ing this declaration, you Mould ecome subject to the-- • _ - Workers' Compensation provisions of the Lab Code, you must forthwith Floor Sinks , - • • 1 • Fixtures icrowave comply with such' provisions or this permit shall be deemed revoked. ' • CONSTRUCTION LENDING AGENCY Gas Service , Outlets ' ater .. ..set Device Boke$ Pole ,ht 1 • I hereby affirm that there is a construction lending agency for the performance of the work for .which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heate Outlets Range Lender's Name • Lender's Address ' - Kitchen Sink - .. • - Water Service- -- - Switches- ^ - - '- Sign - ... .. ' OWNER BUILDER DECLARATION ' I hereby affirm that,Pam exempt from the Contractor's License Law for the Lavatories Auto-Wash ' • following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Dispo-: Standing Sections county which requitesa permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • Generato ■0-5 KW ❑5-15 KW T'rash.Com actor any structure, prior to-its issuance, also requires the applicant for such permit P to file a signed statement that he/she is licensed pursuant to the provisions oft the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Roof Dra' - Division'3 of the Business and professions-Code) or that he/she is exempt - ' -- • herefrom and the basis for the alleged exemption. Any violation of Section i ' , , x';,,31.5 by any applicant for a permit subjects the applicant to a civil - .talty of not more than five.hundred dollars($500). - II `\\p\�` ' • tel, as owner of the property or my employees with wages as their sole Reinspection Fee f $15 Issue Fee $ 3 - , ' 'compensation, will do the work,and the structure is not intended or offered frff - Reinspection Fee _ $15 Issue Fee - $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - License Law does not apply to an owner of a property who builds or improves _ - thereon, and who does such work himself/herself or through his or her own - _ •EVELOPMENT SERVICES REQUIREMENTS: �1O• employees, provided that such improvements are not intended or offered for 1' er • Hood or Type I '❑ ZoningApproved ByDate sale. If, however, the building or improvement is sold within one year of com- -— Canopy Type I :❑ pp - pletion,the owner will have/the burden Of proving he/she did not build or im- • Duct- -' Ground . - prove for-the purpose'of sale)° - Building Approved By ' Date �': "(am/ 0 I', as owner of the property, am exclusively contracting with licensed con- Duct-Structure Refrigeration System Application Issued By 'Date• -Z7E� / < tractors to construct the project,(Section 7044,Business and Professions Code: The Contractor's License Law tloe4 not apply to an owner of property who • Duct-Ventilating �,00-100,000 BTU 00,000 BTU C $UMI�ARV OF FEES gr/� builds or improves thereon, and'who contracts for such protects with aeon- ryJ1 SMIP - $ a•+fd • tractor(s) license pursuant to the Contractor's License Law). I.am aware that - • BUILDING PERMIT' $ R34 .60 • of provided to me. Exhaust System 0 'Multiple ■ Syste '-pair/Alteration proof o their Worker's Compensation insurance should be - PLAN CHECK $ 7 '/5 PERMIT 0 I am exempt under Section B.&,P.C.for this reason Firepl/Fact BIt. ICBO# ' Dampers - - PLUMBING $ ISSUANCE $' Date Owner - - Heating System&Ducting Re ster - • PLAN CHECK- 25% •$ ENERGY P.C. ;$ _ - - I hereby certify that I have read this applic ion and state that the above ❑0100,000 BTU 010 , OBT ELECTRICAL •GRADING $ ' information is correct. I agree to comply with II city and county ordinances : - .$ • and state laws relating to building construction, and hereby authorize repro, \ '- PLAN CHECK 50%, $ .MICROFILM $. sentatives of this city to enter u,on the above-mentioned property, for r / . fS inspection pu .res. �y IO�Cj� MECHANICAL ✓ ( U Signature - k► • .a WI .Date b . . $ TOTAL FEE, $ _ Drivers' License or SS spection Fee $15 Issue-Fee �$; CONSTRUCTION AND PLANNING . POOL &SPA (% Date Inspector. Date Inspector APPROVALS .Permit# • APPROVALS Permit# 1:ifTemporary Electrical Service or, Pole _ 52. Pool & Equipment Location- • 2. Soil Pipe-Undrgrnd.•' 53. Steel Reinforcement; - I , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms -. 4. Electrical Conduit-Undrgrnd. • . 55. Electrical Bonding • ' . • - 5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test ' • 6. Electrical UFER Grnd. ' • 57. APPROVAL TO COVER-GUNITE 7. Footings •, ,• . -, _ /L2/�' 58: ;Electrical Conduit-Undrgrnd. , 8. Foundation' - ( ' • . 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • , ., - • - - - 60. Backwash Liries, P-Trap, ❑ Undrgrrtd. 10. Structural Floor System -i 61'. APPROVAL TO DECK , 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final- • " 12. Sewer Cap63. Heater& Vent-Final " . 13. Roof Drains64. Plumbing System - Final ( • - 14. Rough Plumbing , t 65. Electrical-Final 15. Rough Electrical-Conduit !Solar'System-Final • - 16. Rough Electric Wiring - - • 67. Fencing &Access Approval ' - ' 17. Rough Wiring Sign ; '68. •APPROVED FOR PLASTERING ' 18. Rough Electrical-T*Bar Ceiling - • 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace ' APPROVALS . Permit# _ 21. Ducts, in Structure 70. UndergEound Hydro • 22. Ducts, Ventilating ' • . t : 71. Product Piping O,Gas 0 Oil 23. Gas Pipe-Rough & Test - i72.' Underground Flush .. 24. Roof Framing73. Undergrnd.Storage Tank 0 Gas 0 Oil - 25. Roof Sheathing 74. Overhead Hydro - - - . 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical - - 27. Frame and Flashing' - 76. Dry Standpipe - , i 28. Lathing & Siding 77. FIXED SYSTEM FINAL ?'t 29. Insulation • 78. FIRE PREV. FINAL • . 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT " " 31. Plaster Brown Coat : • 79. FINAL INSPECTION . 32. Electrical Power Meter-Final I 80..FOOD CERTIFICATE ISSUED - 33. Final Electric . Notes: , F . • 34. Final Heating & Air Conditioning' - - - • ' " 35. Final Gas Pipe-Test ' ' 36. Hood or Canopy , - 37. Final Factory Fireplace • • 38. Final Plumbing - _ - 39.•Watef Service-Final - . . - - ' 40. Gas Service-Final - , - ' 41. Solar Domestic-Final .. 42. Backflow Preventer . •%- 43. Backflow Irrigation - '. 44a Landscape Irrigation System , - '--+• 4' • 45., Sound Attenuation - - -, • 46`'Handicap Regulations . JJ - , '-47. FINAL'STRUCTURE & B ,,xUILDING 1 ; ere' -.'.` ' 48. Special Requirements Completed 1 - . • 49. Electric Release to Edison t N 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY\ F - - • • - • - s No. Date - _ - ` • . t ' f - - - TYPICAL 6" CONCRETE BLOCK FENCE Cement Coping Optionala l -- �" `� . GENERAL- NOTES Channel Block With 1.3/816 .11 Horizontal Top of all Fences %�glq IN MORTAR: One Port Plastic Cement, and 01. I I I l Three Ports Sand p GROUT: One Part Cement Three and For Fences 5'or Len One Half Parts Stand Ven.Ban3/8"0at4'-D"O.C. d� a = I I I '� COPING: One Port Cement, Three For Fences Higher Than 5' ;•1 Li. v Parts Sand Vert.Ban 3/8"0 at 32" O.C. > W ONCRETE: Well Mixed C2-1/2:3-1/2 < x Fill Cells Solid With Grout �� > Z ' -" 111 Max. of 7-1/2 Gallons of I Water Per Sack of Cement • Where Steel Occurs > - -- - Reinforcing Steel Shall I 1 f 1 GROUT V BE POURED FROM THE TOP j�� I OF THE FE E IN CELLS WHERE STEEL • Conform to See.A-15.39 W o . OCCURS. SOF HORIZONTALREIN. A.S.T.M, � � w n _ CLEAR,� I I I 11[ I FORCEMENT SHA L SE C EAN& All Steel to be Lapped FREE OF ALL MORTAR DEBRIS,ETC. - • 24"or to Code it -I I I . NATURAL GRADE i9 et TWO 3/8"0 BARS ...al BARS a� r •'. -. • • .... , • CONTINUOUS TOP ... ._. . &BOTTOM WIDTH TO 16' O.C. MAX. �- t' . SEE CHART •� ♦ .. J}ORIZSTEEL MUST BE TIED IN BELOW . DE PTH OF E ARTHTCOTH PLACE AT TIME OF TRENCH I� ' t 1/3 THE HEIGTH OF FENCE INSPECTION. ----lTEEOW BOTTOM OF FOOTING. • --1 1,...441 :. � SCALE: I/2n = I' . • FOOTING REQUIREMENTS CHART j WALL HEIGHT 6 ' 5' 1 4' i 31 WIDTH 14" 14" I _I2 le.a THICKNESS 10" 10" 8" 8 " DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12" ' SPACING OF EARTHTOOTH. . 12' 14' 16' 16' OWNERS NAME: City of Costa Mesa, California JOB PERMADDRESS: ; Building Department • SIGNATURE: _ ^ �.o:... :•..:,_:•._._r.: 2CVI7ep Nov.az • • - .. - 9 133N1S . • CA401 ) 11 ---1-- ... • 4-7,01f • 2 I _. "P at . -- i ; 11111i to . - -0 to . z ni -0 nt ai no "1 nt . pl I --1 101111110111111 33N 30111311 1131110I UN 1 MINIM r' s Iii I a • .4 acf, ..., -z.,.. , .• • APPROVED City of CostaMesa Building Dept. . . 4-/C BY Z DATE 11/0/ 1917 I THESE Pt AMS MUST SS ON.10B AT ALL WAES P' " • 1! NO CHANGES \711in',%...1;" RV:;F:A i,990vAL OF 1N3IN.18Vd30 DNINNVld 3H1 AA 811\08d8V 38 A 11VHS SNO1103H00 60 ism-11313a 'SNOLLIGGV FER!4i,- ic.);:, c, . • ,. 310N . THE i.:0"eIr"., C.: • - 1 . • E -!.,:it.. 1L4 ....1 C:.1•,; Aurrt.,:. •:' ,•: : .. . WHIG; IT A:11:,C•r, .. ,:: ..*. . • • ao 101211" \ . THE ISSUANCE t.gt c• AU At IT :::-1:1, :C'L''• .Z". -.0E' . SPECIFICATION:, !ilia(i N':':( ''',fCE"' I. ;,iCirett " • • otossvia -mi FROM THEREAFTER RECIUIR!NG :HE C...:4• C tA' •‘.C. ..,.:c•-‘1-:': IN • 741 va SAID PLANS AND SPECIFICATIONS OR FROM PP'k:e,,,I INC t.S? °I 17 j.DaTeng BUILDING OPERATIONS bEING CARRIED ON THERFUNUER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE Of 30 •Dara at to 'IA Torad . THE CITY. I id3a °NI ..,.72,WO ' vs3v.4 x(.1503 im f07 . . 1113/11AridiltdaV ". . ... 0 -- . thirtieth street architects FIEC �_� LD CITY OF COS• MESA inc.lBUILD!", DE ; 19183 December 15, 1983 " tg1b Alf410,1z13i4i516 City of Costa Mesa Building Safety Department --77-Fair Drive Costa Mesa, Calif. 92627 RE: Maryo Tate Addition, f200 Lillian Place,)Costa Mesa Building Permit;#G8628 J To Whom it May Concern: Please accept this letter as certification that, to my knowledge, the existing surface water drainage at the above referenced development has been left undisturbed. The scope of the development was the addition of a second floor bedroom to an existing single family residence. Since the existing site already had adequate drainage, no grading was called for in the plans, nor did I observe any. Please issue any releases being withheld at this time due to pre-existing conformance with the City's grading requirements. Sincerely, 49 - C. -s C. Wilson, A.I.A. architecture • historical rehabilitation planning • 2821 newport blvd. newport beach, california 92663 (714)673-2643 - • Applicant to fill in all spaces except those within heavy border tines and signrallappropriate declarations. • // / OF COSTA MESA" _ •- ._ -- PERMIT NO TRACT NO. LOT NO. BLDG.NO. - S G97 9/ I5/f )�4'� ' • 'ei�CONSTRcICTION,PERMIT" ' ' �jp �� • ���jjj T • _ I Prtec Add ess"2�o' G/LL/ /✓ `L4C TYPE • OF CONSTRUCTION. -_❑'NEW,jAI ADD L'J.ALTERATION L� REPAIR • v I« �',�dilcan['•s,Malting A•ddress S/4-/V L- • - • _ ❑ CONVERSION 20DEMOLISH u OTHER- A.P.#! - - ' 1 (Zone. • ' . Owner's Name �qp .' DESCRIPTION-OF WORK ' v ///N S /e4TL" _ - Phone . _ S Main Building: - _- Accessory •Building: Z i Address - TYPE OF PERMIT 0 GRADING• 11p0( 'FOUNDATION U-.STRUCTURAL1 T Front, 1 ' _ N Arch/Eng, i -License NO. - ❑i TENANT ❑ ELECTRICAL 1L1.PLUMBING ❑ MECHANICAL _• 8 - „ , • - - Address' -7• 1" • . I '❑ BOTHER •' A Rear, r _ N Contractor's Name (7 5 jam' T — Phone /' Ye ' PROJECT DESCRIPTION SQ. FT, ` 'OCCUPANCY C Right 1 ; I _ - G • 1 , / 1 VALUATION'$' S Left - - h R Address'Imailing) Z-7ICZ VA1- y mom t/ CONSTRUCTIONTYPE 400/T/On/ _ _ ' - E • ZONE GRADING CU.YDS. ACRES - Ping. Ref.# • • Park.Fees $ Q. City License No. - - U • LICENSED CONTRACTOR DECLARATION Remarks: / "t'� , C - Parking Req,/Provided , , I hereby affirm that I am licensed under provisions of Charter 9 (commencing ' (DOC I _ R ' with section 7000) of Division 3 of the Business and Professions Code, and I I - �� i Use pf Building: E my license is in full f• ce .n. effect. 1 ' - - - License-Class '2 - a No 7 a 2.0 - • ' PLUMPING - • FEES Planning Notes: - _ - M Date 7-7/1 3 d/ SignatureI - N ' DRKERS'COMPENSATION D' C • -ATION I , • Bar Sink Shower's • N })ereby affirm that'1 have a certific. - onsent to self-insure or a certificate 1 Backflow Preventer Service Sink ) S i •Workers'.Compensation,Insurance,,or a certified copy thereof_(Section �^�// - c:'600, Lab. C.)/', •- // Backflow Irrigation Sewer:Cap i - - I • ELECTRICAL I ' ` FEES , Policy No. ' • Company , 8 Certified co ii hereby furnished. Bathtubs Sewei Connection N _ 1 , P)'' :,�• Automatic Washer ' e 'Transformer 0 15-50 KW Certified copy is filed with the city Building Division. , 0 50+KW Date Applicant -• arifiers Solar-Collectors Construction Pole Sub, I J EXEMPTION'FROM WORKERS',COMPENSATION"DECLARATION , Dishwasher •- -- - , (This section need.not be completed if the permit is for one hundred ($100)or` " '• Sola(Piping . . . .. . ... .. .. Cooking Unit- - .-.____ 'Meter .Dup.to 100'amps . . ..p.. _ less), - ,,. y - - _ I certify that In the performance of the work for which this permit is iss e• , Drinking Fountains Solar'Tank .S•� '"- /,•s Dishwasher ' Meter Dover 100 amps shall,not employ any person in any manner so . to become subje ' - 1 Works Cq$npe tion laws of Cali • - / Floor Drains , - Swimming Pool w/Spa ;-7 t i� _ Dryers Gas ❑Electric Sub Panel ' Date /J"/J ' Signature d ,_-..R�. �� r NOTICE: If,'aftersmakinq this declaration, You should be -m . t to the or Sinks - Urinal i Fan Motors❑0.1 HP 01%-8 • ' .Workers' Compensation provisions of Rhe Labor Code, -o must forthwit . ' - •. - ' ' comply ,with,such provisions or this permit shall be deemed revoked,_ i .s Service ' Outlets 2, Water.Closet ` - `1` F:A',U. Inc Solar'09-15 HP ❑i•6-15+ CONSTRUCTION.LENDING 'AGENCY,. ' • ` -- +" ' - - • I hereby affirm that there is a construction lending agency for the performance- Inverceritors; Water Heater . , " Fixtures • Microwave of the 'work for which this permit ,is issued..(Section .3097 Civ. CJI - Lender's Name, ' Kitchen Sink t- -Water Service r_ , - ,`, Device Boxes Pole'Light i ' • Lender's Address - I - .r - - .- - _ �_ - OWNER BUILDERDECLARATION " . ' •- • - -a atories. 1 ., 1 - _ Outlets i Range I hereby affirm that I am exempt from the Contractor's License Law for'the p .TraI ' following reason'(Section 7031.5 Business and Professional Code: Any city or - P . ' - - - Switches Sign county which requires a permit to construct,alter,improve,demolish or repair _ I • _ •l, • any structure, prior to its'issuance, also requires the applicant for such permit • - + Roof Drains - • I i _ -. Garbage Disposal - Standing Sections - tto file a-signed statement that he/she is licensed pursuant to the provisions of - ' - - ' the Contractor's-License Law,(Chapter 9(commencing with Section 7000)of - ' I • I� `� Generator ❑0.5 KW ❑5-15 KW - f Trash Compactor -ivision-3'-of the Business and Professions Code) or that he/she is exempt '� . i - P . •refrom and the basis for'the alleged exemption:Any violatlon.of Section ' • ' ` _ 31.5 by anmore than applicant for a permit rs ($50 the-applicant to a civil _L�_ • r • - $ 3 i'I ' I I • -LJ of not more than five hundred dollars ($500),. ' . / einspetti ee , )A Issue Fee _ I LJJ I, as owner of the property or'my employees-with wages as their sole < - - 'Reinspection Fee $25 Issue Fee ' 1 $'3 • compensation, will do the work, and the structure is not intended or offeretl - )MECHANICAL 1 FEES < for sale!(Section 7044, Business and, Professional Code: The' Contractor's - -- PUBLIC SERVICES REQUIREMENTS: ' License Law does not apply to'an owner of a property.who builds or improves iI - i - • thereon, and who does such work,himself/herself or through his or her own Boil-er ,. , Hood or Type 0 employees, provided that such'Improvements are not intended or offered for Canopy Type II• ❑ i n Zoning Approved By • Date • sale, If, however,- the building or Improvement is sold within one year of com- Duct- Under Ground i letion, the owner will'have the burden of t ApplioatiOn Approved By Date_ p proving he/she tlitl not build or'Di - - LIrove for the purpose of sale). , Duct-Structural • , Refrigeration System •- f Application IsuedlBy - -flats I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044, Business and Professions Code: Duct-Ventilating 'I SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who - '.ABUILDING"PERMIT 1 -builds or improves thereon:land who contracts'for"such projects with a con- i --)' Eithaust System 0- Multiple-0/ �•'System Repair/Alteration I _ '-'T _ = !�j tCCALSTRUCTION AND PLANNING' . ' ' • • • • u•S PO(t"" PA ' • PPTiOVALS Permit#- Date - Inspector •APPROVALS Permit#.. ' • Date Inspector' fA Y., Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2., Soil Pipe-Undrgrnd. 96%?iP 53. Steel Reinforcement - , I. Electrical Conduit,Utility-Undrgrnd. •• • 54. Forms • •, - . ` it. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding - - ' - •5.•Steel Reinforcement '56. Rough Plumbing & Pressure Test ,', 6. Electrical UFER Grnd. 57: APPROVAL TO COVER-GUNITE • 7. Footings ' ' 58. Electrical Conduit-Undrgrnd. . ' 8. Foundation. 59.. Gas Pipe, 0 Undrgrnd.,,Testu: • 9. Water Pipe-Undrgrnd. 9/0 3 AQ7_'v_/ e' 60. Backwash Lines, P-Trap, 0 Undrgrnd. . ' - , 0. Structural Floor System - • 61, APPROVAL TO DECK - • 1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - p. Sewer Cap . .1 • - 63. Heater & Vent-Final ' • �3. Roof Drains , , . 64: Plumbing System - Final , 4. Rough Plumbing - , • -65. Electrical-Final 5. Rough Electrical-Conduit ' - - •_ 66. Solar System-Final ' - . ' I 6. Rough Electric Wiring /0/13 83 Ce - 67. Fencing & Access'Approval, - 7. Rough Wiring Sign - - :68. APPROVED FOR PLASTERING 8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 9. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT . • i D. Rough Factory Fireplace - APPROVALS Permit# 1. Ducts, in Structure 70. Underground Hydro ' i 2. Ilfiucts, Ventilating ', 71. Product Piping 0Gas 0 Oil .i Gas Pipe-Rough &Test t 72. Underground Flush • ' I' Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil :i. Roof Sheathing 10-2043 SR '74. Overhead Hydro T-Bar Ceiling (Structural) & Monocoat , 75. Dry Chemical 1. Frame and Flashing-. . - , 76. Dry Standpipe • �. Lathing & Siding ' 77. 'FIXED SYSTEM FINAL, - lit. Insulation Pen aow) CpQ'i' !/3_33 �p • 78. FIRE PREV. FINAL . • - ' i. Drywall Nailing ///Ztf/.) 4ye HEALTH DEPT. REQUIREMENT li. Plaster Brown Coat " 79. FINAL INSPECTION I. Electrical Power Meter-Final • 47831LD.‹" 80. FOOD CERTIFICATE ISSUED e I Final Electric I : •;Notes: -i0, 3(,•�y 0jc -f0 - 'nct.; . e Final Heating & Air Conditioning ` ` 11 i - Ft-Coming, fen 1�tn rouG�h FLrn b-rh 1. Final Gas Pipe-Test - J'( �o 207$3 e 'AP. • COffPC�•0n' F'fpn •.Hood or Canopy . I Final Factory Fireplace • - •) Final Plumbing I Water Service-Final , - . 1 Gas Service-Final • , Solar Domestic-Final ' Ii Backflow Preventer • _ , Backflow Irrigation., . - - - , • :Landscape Irrigation System - . - Sound Attenuation - Handicap Regulations FINAL STRUCTURE & BUILDING . .. • -• • • Special Requirements Completed Electric Release to Edison • . . - I ' ' Gas Release to Southern California Gas Co • , !CERTIFICATE OF.00CUPANCY - - • - . - - ' Datei •-•� Applicant to fill to all spaces except those within heavy border lines and sign all appropriate declarations. ,r-ILITrY OF CESTA MESA 1 I ' f• 1 PEWIT N TRACT NO. i LOT NO. 'BLDG.NO ( t _ COON9'TRUCTIONPERMIT. , ' . 'f ' i ' 1 x'6'28' -J f,s I ;; • " I I , { j� �r Applicants Mailing Address ".”2"-/- "'Ai,� A^ "" Uj/./J._ ' TYPE OF CONSTRUCTION- '` NEWII [IA ADD ,U ALTERATION :U'REPAI R•- r_ I ': I _5137 t.;/06/.83;; +' f r •1 Project Address- Zoo -��L //An) /'G`- ' ' - 1 ❑ CONVERSION :❑ DEMOLISI OTHER • • ` r _• : t" • r 1 ` I •• r �'' '`y t - - DESCRIPTION OF WORK Q./!!.'/ O/1 //�.O/>%i�<� 1 - - l '` - r - • r -r Owner s Name ,; � T�rt� '- ' Phone • _ _ '' y , . , . _ 1 - I , ' ,. - . " I 1 r - •• r - ' - ZONING REGULATIONS' . r• , ; Address' .!�trr3 '4'tL/ lt1 r(/76-.„ ..J'�. r E ' E�'g y3q-€2�2 "O�• „t j' ' 4 T ?� Y ` ( r 1 TYPE,6F PERMIT^ • ❑ GRADING'rr��LzzJ� 'FOUNDATION- LI STRUCTURAL A P.-*+ -ZONE , ! ' v. : Arch/Eng^•7'8%_4 ' '! ,4%tc/7 License NO. I - ❑'TENANT ❑+ELECTRICAL E 'PLUMBING• LJMECHANICAL r ' • - = =r BUILDING ` _ r•r. l.e+ 1 ! .. // i , , . I i _ + m .,PLN G. RE F.Yhr Frac x <r el- .. f i * Address ';251 =.!�/7N ".dodo - :NLi'ld .7hi� : ❑,OTHER .,�. 3.. ._ - 1 ., 1 '•� L 1 1 TO BUILDING • J.0 / S C C • // s I •! :a• I •PROPERTY LINE6KW�'iM '(O� •REAR_VARD (TO P/Ll. �S '�� ! ' Cont,ecior's Namel lin�'��/-�!�/G'� �Phgne��9cG� 'PROJECT DESCRIPTION SG:FT.;J /j' OCCUPAN V // r ' C. ' '- ' ' ' _T (' 1 <LEFT SIDE YARD' i3 =a , RIGHTSIDE YARD, n ((//nnD^ 1 ,/ CONSTRUCTION T,VPF ,VALUATION$" I}-Ll F•f'C Address(mailing) - - �- �' %� - // --' C, ?I: rf . X;/..2..,/••e - ; ,-_. L T. I • i I • I ZONE ! : I ' GRADING CU.YDS: , r '(ACRES " PKG.SPACE1REO. { 1, PROVIDED ` = {!4• ` License No. "✓ J _ •t LICENSED CONTRACTOR DECLARATION 3. 1 r I 1 I 1 Remarks: I • I r n STREET WIDTH ' ( •' I I - ;PARK FEE$ - , • I;hereby,affirm thaEpam licensed under,provisions of Charter,9(commencing t ' •' '�•' I Jj /G� ��Y• �, . . ' Z�t��V3 t' - { - ' with section 7000) of Division 3 of thtt,Business and Professions Code, and ' { i 'j I CI i ' .y.- 2�6 i ')r!l -I' l • ' SPECIAL CONDITIONS: • I I 1 I "3 1 I • I ' my license_Is In full force andleffect it '„ • : ` • "F -7- ' W - ' License Clry�sss• I - • icons; •o �/ ' I ! I i ; PLUMBING : i, 1 -, I I 1 i 1 I 1. 1 I • l ' _ ate 4//-+�. .Y Signa �_.,_.'' /�,-....,-e- //! ••'RKERS'COMP srdP9A CLARATIONI 1 ' - ' Bar Sink i Sewer Cap i 'e'j I ` ELECTRICAL j I . -• ;''ireby,affirrn.thatl have a certificate.of consent,to.self,insure oi.a.certlficate..,1_ ._' gackflow Pre,enter'- r - -.... -- --Sewer,connection +--j-- -- - '-- -- Automatic Washer'• __- •,-_ 'Meter ©over 100 amps y_ "'Ca Workers' Compensation Insurance„or-a certified'copy thereof (Section , - , • , / ,•��♦7 3600, Lab. C:)';,, j +� + • y 1 gackflow Irrigation Solar Collectors ' , ( i•- ; • Construction Pole .• ! ,Sub Panel' .I I 1 I Policy No. ` ' • Company _- 1 Cooking Unit ' V 1 1 Sub Pole ' 1 ' ' 1 BCertified copy,li hereby furnished., ' ,1 I 1 I Bathtubs Solar Piping • ; "i I 200 1 ' Certified copy'is filed with the cityBuilding•Division. I • I '- Dishwasher , , I' Motors ❑0-1 HP 01'/z-B , I ''Date 1 Applicant -sit -+ 1 , Clarifiers I 1 ' So ,t,,. 1p..1 _. 1 _ .�. _ if EXEMPTIONFROM WORKERS'COMPENSATION.DECLARATION 1 ' �; I '- Dryers Gas. O Electric_•-r _ -- ,Inc 2.171 -15+ - 20 O (This section n' ,{. t be completed If the permit is -.. hundred ($100)or • Dishwasher 1 Swimming Pool w/Spa ' - less). j - "'' -t. I ` , .. - •tc " Fan; ,• „ ' + Microwave ' • I ' I certify,that in the performance of the work for which this permit is issued I I Drinking Fountains , Urinal•' i - ,,F' r" �, I shall-not.employ;any person to any mann•r'so as to become subjec to the ( - - ' r 1 Workers' C - I !• I I F.A.U. , Pole,Light 1 I Compensation; of Cantor i 1 % Floor Drams) % Water Closet ", pa ' Data 9��/c 'm $.'t • be - ' - Fixtures (Ran e ' ,. NoTICE% , per moo) r of th;you r come- . • Orth the- - Floor Sinks }- - - --.-, / .-Water.Heater ,. 9 .. • _ - ., „� Workers'. ithsuch Compensation provisions of the Labor Code, you erred forthwith, I - 1 comply .with' 'provisions,qr'this ''permit shall be •tleemetl revoked: • • 1 Device •Boxes " 1 • P yP P _ / Gas Service aZ Outlets, Water Service t" •r `, • ,"ia on °Sign r 1 • L. CONSTRUCTION LENDING 'AGENCY ' - - ` Outlets t-• '• • I hereby affirm that there is a construction lending agency for the performance 1 • Interceptors _ - ti. ' J /J .. (Standing Sections •: : j 3 to 1 of the .work for. whigh this- cphin',-is,issued (Section 3097: Civ- C.) _ - - ,. - • •- Lender'si Name e7vIJG• - ' a - - ./ Kitchen Sinks : f , '• r " i • F . •„• •«/Z 0a�Switches I l i {} j Trach Compactor I I i / ips Lender's1 Andress 1 . ' '' : •- ' ,-': 'T ' > • IL ! ' I - - I I I -i. / Garbo a Dis oral /, r f•; ,: f i ! OWNER BUILDER DECLARATION - '; a ! I - _ Leyatorie5' i 5 i1 I „. t - f , g D • ,I hereby;affirm that I am exempt from theiContractor'5 License Law for the , , - , •.„. { r - t•i ,v b Generator 00-5 KW 05-15 KW a-'9 , ; following reason(Section:7031:5 Business and Professional Code: Any city or P-.Trap' ct • , 7 - / ; I ,county which requires a permit-to construct,alter improve;demolish'or repair ' - C.' , - s 1 �- i • ' • Transformer 015;50 KW ` i 1 r I �I i ' i any structure' prior to Its.Issuance also requires the'applicant for such permit Roof Drains , a ,,: _: I ..- , ', ; r j ^fj ,'. ,00 tt 4 ' p' .file a signed statement that he/she is licensed pursuant to therovisions of 1 _r_- +J mss• KW' / y_Contractor's'License Law;(Chapter 9(commecing with:Section,7000)of " I r r ; ) ,. - 1 .; I ' 1 •Y' 1 - r 05U, • Al (/ 1 •7^:- •IRemspeotion Fee 1 • �($ "ision 13 of the:Business and!Professions Code)-'or,that he//she-is exempt I -'J Showers • cj _ '1 ti 1 Relnspectibn Fee `•I @t�'f. - C set erefrom and the,basis for the alleged exemption. Any violation:-of,Section , ' - �• 1 1 Meter ❑up to 100 amps 1,4 ,' Issue Fee: I i - '$ 3 , .70315 by:,any applicant for"-a•permit:subjects:the•applicant to a' civil ; ' Servide Sink ,' ,t 1 I T r.y i • '� 1 enalty of not more than five hundred dollars($500). : 1, _ • `1 1 r. { Issue Fee,-t , r 1$ 3r 't Zoning Approved By VA.C."/� . '• :Date ! J //��• i Ides•owner off the he work, nd•th employees not intended their sold I ` r , I 11Y MECHANICAL tiOn r WEC.- �"' I l _I C.• ' compensation' wilt do the work,ono the ofessi ure'is not intended or Contractor's - r t •! ,s t r !''1 P Application Approved'By• Date 1 for sale.(Section 7044', Business,and:Professional Code:/The.Contractor's - - ap ! ; t 1 License Law does not apply to:an owner of a property who builds or improves . I F+ ' 1 - ' Refrigeration System I l y n' 'j „ /` 1 G'• w 1 i � � thereon,;and who.;doesl such work himself/herself or through his or her own 1 ! Boiler, I .-. I i .1 t „t 1 el if Application,Issued By „ • Date • I employees, provided that such-improvements are{not Intended or offered for 1 - 00-,100,000 BTU ❑100,000 BTU ° t 1 sale- If, however, the building or improvement Is sold within oneyearid cpm- I 1 Duct-'Under,Ground 1 I 1 i , I 1 7 s.j `-, ri '`I •Li '{ I .�(y'j "' %SUMMARY OF FEES I 1 I 1 • 1 pletion, the ow l have the burden of proving he/she did not build or im- {( VI 4 -/ , ' i l Urove for the purpose of sale). 1 I • .• I r 1 { Duct-Structural f � I � System Repair/Alteration l T ! Lv 1{BUILDING PERMIT' $ f/g1g�•OG'i: SMTP I ' $ /® ' I, es owner of the property, am exclusively contractingiwithincensed con- ) • .- <j I • ( tsar 1• ' I , '..tractors to construct the project-(Section 7044,.Business,and:professions Code:_ ....1. Duct,;RVentilating Li.„....,,...,__1 _/ '+��,+; �� G��,v L 3-Ipo I PLAN CHECK, - $ .• •f ''• PERMIT 1 i k , The Contractor's Litense Law does not apply to an owner of property who i /w, '+': I ! 'e _Q ' 1 builds or improves thereon,and Contractor's for such projects with a'ton- • 4 Exhaust System 0 Multiple ❑I / /•/i I t 2 W i IPLUMBING I $ �"�r'w"�700 ISSUANCE , $ ; ,. tractor(s) license inti rant to the Contractor's License Law); i j t - I ' GRADING t i $ ' 0•Lam exempt under Section 1 ' B.& P.C.for this reason t • Firepi/Fact,alt.ICBG# i i1 1 I - 'PLAN CHECK( $ - 7•� I i 1 r ! i I i • i , i t I ,:r'''1 a•' 's9: %� I I i 1 $ I I ' Heatin 'S stem& Ducting 1 n 1 s^ +' (ELECTRICAL -t L$ .�� �O' ( 1 t Date I Owner' 1 1 I i i i 9, Y 9 i 1 I'� I i ' i 1 t I I i i '. I .a et : - -3- 70 , f MICROFILM 1 $ . r;-b-hereb _ ---.----r--1 - 1PLAN CHECK• n. y-certify-that-b•M1ave to-comply pith all antl-state that-the-above • - 1 DO-106,00d BTU-D.100,000 BTL ---t ^f- .1 t� '$ ' I information Is correct. I agree with all city:and county ordinances r f .+ i J . i /S'1 't•. 1 ` t' TOTAL FEET emir state laws relating to building <onstruction,:antl hereby authorize repro- , • r !MECHANICAL • - $ '�• �"� , $ I ' ' sentatives 'of t Is;city to enter:upon the above-mentioned property for { Cano Hood or Type I ❑I I • Reinspection Feel J -ts-tc ;PL'AN CHECK' r$ `2.� LESS I i ISi. ' -- - ou_ .-'. • 1 `L , ; l I • CanoPY Type II ❑, V i i • !' �� .- - - / _�. i Date' i•' I I, r Registers } ' 1 Issue Fee i • `='' ' . . .. • F7 I I I e •I ADVANCED,PC $ ' '�/ I s cense or,SS* / _ ._ __-..._. ._ . �__ _ -_.- __ _ _ .. 1 __ _.T .____-___ _ - - _ 9 CMF 086546 rev.12/82 White-Builtling;Canary-Applicant;Pink-Accounting;Goltlen rotl -Assessor - - ---' -' -" - - ` - _. -- .___ _______z--- - ---• - ' `CONSTRUCTION.AND,PLANNING, . - PO SPA _ '::Date Inspector - Date Inspector /- _:rAPP,ROVALS. Permit# - APPROVALS ''Permit# ' - 1. ITemporary•Electrical Service or Pole .:43: "`i, ' , .52' Pool &'Equipment Location- ;' • - ' 2' ;Soil Pipe-Undrgrnd. `- i ?_ ` 9q 4iy Se 53. Steel Reinforcement1- ' '1 ' .^'3. Electrical Conduit Utility-Undrgrnd 7. " - - : ' 54: Forms %- 7.5 1 r ._ •, c. rf - _• • , 4. Electrical Conduit-Undrgrnd._ 'A-"ii; I ,, ' 55 Electrical B'o'nding ' ' v.8: ,Steel'Reinforcement r n _;;!: • 56.• Rough Plumbing:& Pressure,,Te-st. ` ` - - '6. 'Electrical LIFER Grnd.J ' '- 57. APPROVAL TO COVER GUNITE 7. Footings.g's�"'" ¢n q41 �, J...2p! .58. Electrical Conduit-Undrarnd' , • . 8. 'Foundation ftnrn (pe',lein n . ' in-aloe t n • � b ! `�- ti-�3 3'p 59. Gas- Pipe; 0 Undrgrnd Test ` 9...Water Pipe-Undrgrnd. _Gy ' g3 ,! 4 , -.60. Backwash Lines,:P-Trap, 0 Undrgrnd4. • - ' 10. Structural Floor System ` %i '2 r , " 61. APPROVAL TO DECK ., 11. Property Sewer Line&JHouse`Connection ,- :- x; 62. Backwash & Receptor-Final - .; ? ' 12. Sewer.Cap+ { ,, • + - - - 63. Heater&-Vent-Final - - t•, ." - - _ 13. Roof,Dr'ains ;• , }• ; '. ', : i - _ , . ' /_. :64. Plumbing System_Final! .7.,.:4-'; . ' _ ▪ .. _ o. - 14. 'Rough Plumbing' rE - - 65. Electrical-Final- - - -• • • - • ' `- 15. Rou h-Electrical=Conduit-'-'- " Th.`'' - ` ""' " . -. 9 :-- •. � 66.�Solar System-Final', - ���`�--+ 16.'RoughnElectric Wiring" A i r : it , ��/13/�3 _ 4 C " ",67: Fencing& Access Approval -i - _ ''17.;Rough-Wiring,Sign , ; j - • f /- - 68. APPROVED FOR PLASTERING I 1 - ' . 18: RoughElectricakT;BarCeilipg.-- !' : + , ' 69. POOL/SPA SYSTEMS FINAL; " ' , ' "; { ' , • 19i,Rough;Heating &'Air.Conditioning , i.,') i, FIRE DEPT. REQUIREMENT- • 20.•Rough:Factor'' Fireplace •', ' ! ' ' APPROVALS' Permit# s• ' ' ' ' ' 21.,Ducts;in Structure , ; 1„ •� i • ' • 70. Underground Hydro . ; '• , 4 - . 22'.' Ducts,..Ventilating: 2> ,, •;;' - I j71. Product Piping OGas Oil ' 23`,GasPipe-Rough &Test . I , 72 Underground Flush • 2,44 Roof Framing " „.IN...-.'' q; '14; ` fi ; ,• . _ 73. Undergrnd.Storage Tank'O Gas O di,:, i r, . - 25. Roof Sheathing : i i - /1 ' • ( 10;:20-0e _ 74. Overhead Hydro , - ' r. 1 , 26. T-Bar Ceiling(Structural)'&'Monocoat - ,75. Dry Chemical r. , - ' 27'•Frame'andFlashing' •- ; � ). '� 11-3-13 4 f . 76. Dry Standpipe . ; - • i - 28. Lathing &Siding'b4`h Pt" 41T, • ' , ,77. FIXED YSTEM FINAL" - • 29. Insulation_; e9 d rh cCIe(. ::.y.-i 11-343 Jf •78: FIRE PREV:FINAL ' .` ;j q ! , I ' ; 30. Drywall Nailirig 11,4?-?/"3 :3:t; . , 1J-2,p-t) - Notes: /0/4.1al ... ` f �Lr'�r.. SrRc/1 Cd 6A. 31. Plaster'Br'own Coat;/ i • 32. Electrical PowerM Fin`a :• ` l0 53 eek• ( f '/7 r3j &J... l 'T ?APE4`L;,: � e..• , 33. Final Electric ii; . • . , - 1 j. ALc5..84)7• 7 Vo5a rl:a0.1411J0• .-et4•. 34. Final Heating & Air Conditioning - /b,�q�j 577 0../A 35. Final Gas Pipe-Test - - - ` X12 $3 '`-�-4fh irr sho ; dt�l9 ' wtascnfs 36. Hood or'CanoPYt,. :. c ! ' , ,, . . 0 1e • .K Ip 37. Final Factory Fireplace • -- - _ • - -• 38. Final Plumbing ^�;�• _I ` m - , Fj7 77G ft l( 39. Water'Service-Final '' ` J t . ' - 40. Gas Service-Final . :'1 + j . ' ,,/ O //- ': /f_ :.y.; yr u6 440p _///ed- 41. Solar Domestic-Final i + J - .. - ;i- r '1-5.• i•t '1'r,l'' !,1`: 42. Backflow Preventer - t ' f I - t Vin )' r• :' u ti--- /' -- - 'frs2'tf/ASI eVnair¢ irotel''Etr' . ' 43. Backflow Irrigation I i i j. t = 1 ., • : )ism/ ill' st, r 44. Landscape Irrigation'System I .. , . 45. Sound_Attenuation : : c 1 1 6 : I. . • ; ' , ' c 46. Handicap Regulations i 4 1 ' - - ' ' 47. FINAL STRUCTURE& BUILDING; a= , • 48. Special RequirementyCompleted ,, .'L .,; ,^, i 49. Electric Release to!Edisori ' ' ' I" _. . ' . - . .:-...-11:4,11;Q! . ;I r50. Gas Release to Southern California Gas Co; . F ;f t i _ - c \ •....- k f 51. CERTIFICATE OE OCCUPANCY -'. _ _ -.--- - ' No - Date - - ' �1, l N 2 OWNER GOODWIN, Jim DATE 8-9-72 JOB ADDRESS 200 Lillian Place BUILDING PERMIT NO. 35056 G``IERAL CONTRACTOR J. C. COnstrE.2 ction DESCRIPTION of WORK Add to Ex.Garage ). 119-122-01 LOT TRACT FIRE ZONE VALUE $ 2.000.00 I�._.-ECTIONS Signature Date GROUP .1 TYPE 31 ZONE R-f SOIL I SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. fl SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES Ir. FORMS lir- STEEL REINF. 41/4-) %f. 9 FLOOR SYSTEMT BOND BEAM n STEEL REINFORCE n SHEATHING g-n FRAME AND FLASHING LATHING - IN n OUT n P' R, BROWN COAT URAL, FINAL Electric NEA. ING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL n • 35056 . . P IO AK -9-72cnsn00. 665>+ , 4**30.14 COSTA MESA BUILDING-SAFETY DEPARTMENT - - - ' . P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • , ,. . • ' • A'PLI'ATION FOR BUILDING PERMIT . - " . For Applicant,to Fill in Completely - - R C- VE BY .DATE RECEIVED s BUILDING 26♦ .dr / �2W'- A 4 C- ar LIP„ . . ADDRESS , OWNER:'{�(jym • • .0 - MAIL BUILDING L Z ADDRESS 2.00. . ADDRESS Ow — .L_ et, o_U CITY ls�'w'E`. �-�•a. 4' NOL6 4,l/2Q Q TRACT /‘3 LOT 45- -BLOCK • Z CONSTRUCTION 1 ' ,. 'NEW ALTER REPAIR MOVING DEM- OI ISH oI- • LENDER /yl Cr .. :• a m J c BRANCH _. J OWNER IQ D i m J" ADDRESS USEy�S �/��pW �IF VALU$ y/✓ ' Jm ARCHITECT • TEL. ,•' Q . OR ENGINEER NO. • . ' UQ - FIRE ' _ �,,,'..//// W ADDRESS • - ZONE TY-E _-27- P -j - _ n.W • APPROVED ' O ' e J Z CONTRACTOR (/`//�'j.@,'Com-f0uwty • BY � DAT `�<' mJ cr' ADDRESS .ie",f-37 _I it • / A • TEL. • NO.OF USE OF NEW ` CITY / - - NO. 6 _ 3g/�1/ A PIANS BUILDING _ t - ZH � ' 0 -..STATE / CITY, . . YARDS APPROVED YARDS APPROVED • co it• - LIC.NO. 2{p 3z "79 LIC. NO. . MAIN BUILDING ACCESSORY BUILDING DO SIZE •7 (FROM C//LL STREET) ' " OF LOT ./ / 'X / CO NOW ON LOS � FRONT %.3 FT. . FT. - USE OF . EXISTING BLDG. air - R SIDE °` FT. FT. I— SIZE OF NO.OF • // • ' Z NEW BLDG. Ye,$ 73 ROOMS ' / 'STORIES f L.SIDE FT.( _ _ FT. Q ' EXTERIOR WALL ROOF V COVERING Act-t_ COVERING C-Arrei � REAR ' -7 FT. FT. ' J USE OF BUILDING AIW WORK TO BE PERFORMED/ DISTANCE BET. BET.MAIN& a MAIN BLDGS. ACCESS. BLDGS. .Q q ������� p ^ /� •may 1 VAR. DATE 2 v +.. _/' C42 ADD/road t QN C.U,P.# APPROVED - O I— APPROVED LAS I is •_T • g 2z_ Oe I hereby bo e'infor tion have read this gr e,to and stwithill ■_ Wel that ilia above information is correct and agree to comply with all laws regulating building construction, and-I'shall not employ any person in violation of the workman's compensation laws of _ _ _ •_ . •• •• _ _ .flan f SA if•a•.. , Hthe State of California. _ . . . re - 7 I SQ.FT. - .. o J hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Cotle,Divisicn 3, THE AMOUNT SHOWN UNDERVALUATION,IS FOR . :Chapter.9, and that such licenses are in full'force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m • CO -am exempt from the provisions of the State of California Business - - and Professions Code, Division 3,Chapter 9. VALUATION '�/f� �U co • •61-e3 -ERMIT FEE $[- w Signature of. ' ] Permittee -` ").7144444•441-411..--0 -- $ 2. 949 PLAN CHECK $ A,•-: